Posted on February 22, 2018 

You’ve never been through a personal injury case before, but now you’re speaking with an attorney and getting started on your case and you have questions. You may wonder what role the claims adjuster plays in your case, how they settle claims, and what you should do if you are denied coverage that you deserve. Today we will walk you through the role the claims adjuster plays in your case.

The Role of the Claims Adjuster

claims adjuster in your personal injury claimWhat does the claims adjuster in your personal injury claim actually do? In your personal injury claim, the claims adjuster works to carry out your insurance claim and get you the best results. Claims adjusters are expected to work in good faith no matter what, which means that they owe you a duty of care to protect you and uphold the policy. If you have been injured due to the negligence of another party, you will most likely work with the other party’s insurance adjuster through your case.

There are many ways that a claims adjuster works to settle your claim and get you the results you deserve. In cases where it is extremely obvious that the defendant has acted with negligence, you should really have no problem receiving the compensation that you deserve. However, your attorney may still warn you that adjusters tend to break the rules all the time and may not pay you exactly what you deserve, which is why you must be mindful of your case and have an experienced attorney on your side.

Because the claims adjuster in your personal injury claim is not an attorney and they have not practiced law, you may end up knowing more about your own case than the adjuster does. They have no special legal or medical training, which means that they might not be able to investigate your claim as carefully as your attorney and yourself. Adjusters also have huge piles of work to finish in the same month, which means they may not be able to dedicate as much time to your claim as you would like. Because of this, you may not always get the results you deserve.

If Your Claim Has Been Denied

What happens if the claims adjuster in your personal injury claim denies you the coverage that you believe you are entitled to? The claims adjuster for the other party may deny your claim for many reasons, such as the policy lapses, the nature of the accident, no-fault insurance laws, and more. However, you must always be given an explanation of this. If you are not, then the adjuster did not provide you with the information that you were entitled to know. You will want to take a closer look at the other party’s policy so that you and your attorney can sit down and investigate the denial.

At the Accident Law Group, we can help you if you are dealing with the other party’s insurance company and running into many issues. You should never have to handle a claim on your own. Call us today to find out how we can be of assistance at 602-262-4254.

Sources

https://www.lawyers.com/legal-info/insurance/claims-adjusters-roles-duties-and-interests.html

https://www.nolo.com/legal-encyclopedia/what-if-the-claims-adjuster-denies-coverage.html

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